INSPECTION TEST RECORD (ITR) - A

STRUCTURAL JACKET ST04-A

Project No.
Project Title
Facilities
INFORMATION
Area No Ref Drawing
System Inspection Date
Sub System Location

INSPECTION / TEST OK N/A P/L No.

1 Primary framing fabricated as per IFC drawing
2 Elevation truss fabricated as per IFC drawing
3 Conductor guide fabricated as per IFC drawing.
4 Stairways installed as per IFC drawings.
5 Shock cell and shear fender installed as per IFC drawings.
6 Rigging platform installed as per AFC drawings.
7 Cap plate and leg diaphragm closure installed as per IFC drawings
8 Flooding system test and functional as per specification
9 Flooding system test and functional as per specification
10 Ensure that Cathodic Protection (ANODE) are installed as IFC per drawing &
specification
11 Lifting pad eyes and Trunion installed as per IFC drawings
COMMENT(S) AND ADDITIONAL INFORMATION

COMPLETED BY VERIFIED BY ACCEPTED BY

Designation
Company
Name
Signature
Date